Bladder augmentation (1069)

Key points below

(Augmentation cystoplasty)

What is bladder augmentation?

This is a surgery that is done to make the bladder larger. It is done: 

This surgery may be done for patients with neurogenic or non-compliant bladders. 

How is it done?

How is the augmented bladder cared for?

You will need to do bladder irrigation with the indwelling catheter. The bowel part of the augmented bladder secretes mucus. This is a normal process for the bowel. If the mucus is not irrigated out of the bladder, it can cause problems like urinary tract infections or bladder stones.

How much to irrigate: ___________   How often to irrigate: _____________

Use tap water or normal saline (NS)) to irrigate the bladder. The doctor will tell you how much tap water or NS to irrigate with and how often you will need to irrigate. 

How to irrigate the bladder: 

1. Using 60ml syringe, draw up the instructed amount of fluid. 

2. Attach the syringe of fluid to the end of the catheter. 

3. Push the directed amount of fluid into the bladder. Then pull the fluid back out, pulling the mucus with it. Discard this into diaper, container or toilet.

4. Repeat the process of drawing up fluid, pushing in fluid and pulling it out until no mucus is seen when you pull the fluid back out. 

Note: Sometimes it may be hard to draw back on the syringe. This may be because the tip of the catheter is against the side of the bladder. You may need to push another syringe of fluid in before getting fluid back out. Do not be surprised if more fluid drains out than what you pushed in. This means a plug of mucus was blocking the catheter.

What are possible complications?

If you or a health care provider think your child may have a bladder rupture, please call the Urology office right away.

Urology office:



Call your child’s doctor, nurse, or clinic if you have any concerns or if your child has:

  • Fever, vomiting, bloating, stomach pain, yellow or green drainage from incision, foul smelling urine
  • Has special health care needs not covered by this information.